TY - JOUR
T1 - Intracavitary ethanol ablation for the management of uterine hemorrhage refractory to uterine artery embolization
AU - Morris, Taylor M.
AU - Ballard, David H.
AU - D'Agostino, Horacio B.
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2017/5/1
Y1 - 2017/5/1
N2 - A 57-year-old postmenopausal woman with end-stage liver disease secondary to alcoholic cirrhosis, esophageal varices, severe alcoholic cardiomyopathy, and metrorrhagia causing persistent anemia despite multiple transfusions presented with heavy vaginal bleeding. The patient underwent two uterine artery embolizations with proximal coils instead of directed particles due to difficult anatomy but the bleeding continued despite these interventions. Since she was a poor surgical candidate for hysterectomy, the decision was made to attempt achievement of hemostasis via ethanol injection into the uterine cavity. The patient's bleeding ceased, her hemoglobin and hematocrit stabilized post-procedure, and she was discharged home in stable condition.
AB - A 57-year-old postmenopausal woman with end-stage liver disease secondary to alcoholic cirrhosis, esophageal varices, severe alcoholic cardiomyopathy, and metrorrhagia causing persistent anemia despite multiple transfusions presented with heavy vaginal bleeding. The patient underwent two uterine artery embolizations with proximal coils instead of directed particles due to difficult anatomy but the bleeding continued despite these interventions. Since she was a poor surgical candidate for hysterectomy, the decision was made to attempt achievement of hemostasis via ethanol injection into the uterine cavity. The patient's bleeding ceased, her hemoglobin and hematocrit stabilized post-procedure, and she was discharged home in stable condition.
KW - Intracavitary ethanol ablation
KW - Intratumoral ethanol ablation
KW - Refractory uterine bleeding
KW - Uterine artery embolization
KW - Uterine fibroid
KW - Uterine fibroid hemorrhage
UR - http://www.scopus.com/inward/record.url?scp=85013806221&partnerID=8YFLogxK
U2 - 10.1016/j.clinimag.2017.01.009
DO - 10.1016/j.clinimag.2017.01.009
M3 - Article
C2 - 28242556
AN - SCOPUS:85013806221
SN - 0899-7071
VL - 43
SP - 83
EP - 87
JO - Clinical Imaging
JF - Clinical Imaging
ER -